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Paramount Dental
New Patient Intake Form

New Patient Form

Please feel free to ask our team for help in completing this form if required.

    NEW PATIENT INFORMATION

    DENTAL HISTORY

    Is there anything about the appearance of your teeth you would like to change? Please describe:

    MEDICAL HISTORY

    PLEASE CHECK YES ONLY ON THE FOLLOWING CONDITIONS THAT APPLY TO YOU

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    Do you have any medical condition not listed above?

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    The Paramount Dental Mission

    We promise to deliver honest opinions, professional advice and the highest quality dental services available. We will make nervous patients feel at ease and will only charge competitive, reasonable rates for our services. We will bring out your healthy smile in the most pleasant and efficient manner possible!

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      Contact Paramount Dental

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      423 – 130 Country Village Road NE
      Calgary, AB, T3K 6B8
      (403) 730-9882

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      Clinic Hours

      8:00 am to 4:00 pm
      8:00 am to 8:00 pm
      8:00 am to 4:00 pm
      8:00 am to 8:00 pm
      8:00 am to 4:00 pm
      8:00 am to 4:00 pm
      Closed
      (** = Alternating)
      Disclaimer : Dr. Henry Seto, Dr. Tonny Tang & Dr. Maria Chan-Godreau at Paramount Dental are all General Dentists (unless specified). As general dentists, they provide cosmetic dental procedures such as porcelain veneers, dental crowns, dental braces, and teeth whitening as part of their General Dentistry license. Cosmetic Dentistry & Family Dentistry are not specialties recognized by the Alberta Dental Association & College of Dental Surgeons of Alberta (CDSA). As Northeast Calgary Family Dentists, they provide General Dental procedures for all ages within the family.
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